Individual
STANTAFFERTA MCPHEE SPARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1075 LAFAYETTE PKWY STE 200, LAGRANGE, GA 30241-3733
(770) 740-1860
(770) 516-8768
Mailing address
2365 OLD MILTON PKWY STE 300, ALPHARETTA, GA 30009-2140
(770) 516-1775
(770) 516-8768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10522
GA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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